1.Easy
Which single measure is the most important for preventing the spread of infection in healthcare?
- AWearing a mask at all times
- BPrescribing antibiotics to all patients
- CHand hygiene
- DKeeping windows closed
2.Easy
A patient has measles. Which transmission-based precautions are needed?
- AContact precautions only
- BAirborne precautions
- CDroplet precautions only
- DStandard precautions only
3.Easy
Which medication is a high-alert medication?
- AAcetaminophen (paracetamol) tablets
- BInsulin
- CLactulose syrup
- DMultivitamin tablets
4.Medium
Two patients infected with the same organism are admitted, and no single room is available. What is an accepted option?
- APlacing them in the corridor
- BCohorting them in the same room, according to infection control advice
- CStopping contact precautions
- DPlacing each with a patient who has a weakened immune system
5.Medium
A family member tells the nurse, “My father is not himself. Something is wrong.” The hospital has a family-activated rapid response system. What is correct?
- AThe family should call emergency services from outside the hospital
- BThe family must wait for the next scheduled ward round to raise the concern with a doctor
- COnly doctors may call the rapid response team
- DThe family can call the rapid response team if they are worried and staff have not responded
6.Medium
A patient with a fever and a cough arrives in a crowded clinic waiting room. What should the nurse do?
- AGive the patient a mask and seat them apart from others
- BGive everyone else in the waiting room a mask instead
- CDo nothing until the patient is seen by the provider
- DAsk the patient to wait outside in the car park
7.Hard
Several patients arrive with suspected inhalational anthrax after a deliberate release. Which precautions are needed for their care?
- AStandard precautions, because it is not spread from person to person
- BContact precautions with gowns and gloves
- CAirborne precautions in negative-pressure rooms, because spores are inhaled
- DDroplet precautions with surgical masks
8.Hard
A nurse notices that the pharmacy has sent the wrong dose and corrects it before giving it. Should the event be reported?
- AYes, near misses are reported so system weaknesses can be fixed
- BNo, because the patient was not harmed
- COnly if the same error happens three times
- DNo, because reporting near misses only blames the pharmacy staff for nothing
Answer key
- 1. C · Hand hygiene
- 2. B · Airborne precautions
- 3. B · Insulin
- 4. B · Cohorting them in the same room, according to infection control advice
- 5. D · The family can call the rapid response team if they are worried and staff have not responded
- 6. A · Give the patient a mask and seat them apart from others
- 7. A · Standard precautions, because it is not spread from person to person
- 8. A · Yes, near misses are reported so system weaknesses can be fixed
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